
<form class="form-horizontal" role="form">
    
     <div class="page-header">
<h2><b>Kết quả tìm kiếm</b></h2>
</div>
    
<div class="canhan">
    <div style="color: #d9534f;"><h4><ins> Thông tin cá nhân</ins></h4></div>
    <div class="form-group">
       <div  style="float: left; margin-left: 50px;"><label for="H&T" >Họ và Tên(*) :</label></div>
          <div style="float: left; margin-left: 83px;" class="col-sm-7" >
              <input type="username" class="form-control" id="H&T" placeholder="Username"></div>
         </div>
    <div class="form-group">
        <div  style="float: left; margin-left: 50px;"><label for="sdt">Số Điện Thoại(*) :</label></div>
          <div style="float: left; margin-left: 57px;" class="col-sm-7">
              <input class="form-control" id="sdt" placeholder="09xxxxxxxx" /></div>
         </div>
    <div class="form-group">
        <div  style="float: left; margin-left: 50px;"><label for="dc">Địa chỉ(*) :</label></div>
          <div style="float: left; margin-left: 106px;" class="col-sm-7" >
              <input class="form-control" id="dc" placeholder="Address" /></div>
         </div>
    <div class="form-group">
        <div  style="float: left; margin-left: 50px;"><label for="email">Email(*) :</label></div>
          <div style="float: left; margin-left: 116px;" class="col-sm-7">
              <input class="form-control" id="email" placeholder="Email" /></div>
         </div>
    <div class="form-group  ">
        <div  style="float: left; margin-left: 50px;"><label for="gt">Giới tính(*) :</label></div>
        <div style="float: left; margin-left: 110px;">
            <label>
                <input type="radio" name="sex" value="male" id="gt">Name</label></div>
        <div style="float: left; margin-left: 150px;">
            <label>
                <input type="radio" name="sex" value="female">Nữ</label></div>
         </div>
    <div class="form-group">
          <div  style="float: left; margin-left: 50px;"><label for="bl">Bạn là(*) :</label></div>
        <div style="float: left; margin-left: 126px;">
            <label><input type="radio" name="sex" value="male" id="bl">Học sinh</label></div>
        <div style="float: left; margin-left: 130px;">
            <label> <input type="radio" name="sex" value="female">Sinh viên</label></div>
       </div>
    <div class="form-group">
        <div  style="float: left; margin-left: 50px;"><label for="mh">Môn học(*) :</label></div>
          <div style="float: left; margin-left: 94px;"class="col-sm-7">
              <input class="form-control" id="mh" placeholder="Toán-Lý-Hóa-Sử........" /></div>
         </div>
    <div class="form-group">
        <div  style="float: left; margin-left: 50px;"><label for="sb">Số buổi(*) :</label></div>
          <div style="float: left; margin-left: 102px;" class="col-sm-2">
              <input class="form-control" id="sb" placeholder="1->4/buổi" /></div>
        <div  style="float: left; margin-left: 50px;"><label for="tg">Thời gian(*) :</label></div>
          <div style="float: left; margin-left: 37px;"  class="col-sm-2">
             <input class="form-control" id="tg" placeholder="tùy chọn" /></div>
         </div>
    <div class="form-group">
        <div  style="float: left; margin-left: 50px;"><label for="nh">Ngày học(*) :</label></div>
          <div style="float: left; margin-left: 92px;" class="col-sm-2">
              <input class="form-control" id="nh" placeholder="2->4/day" /></div>
        <div  style="float: left; margin-left: 50px;"><label for="shs">Số học sinh(*) :</label></div>
          <div style="float: left; margin-left: 20px;"  class="col-sm-2">
             <input class="form-control" id="shs" placeholder="tùy chọn" /></div>
         </div>
    <div class="form-group">
        <div  style="float: left; margin-left: 50px;"><label for="bct">Bạn cần tìm(*) :</label></div>
        <div style="float: left; margin-left: 92px;">
            <label><input type="radio" name="sex" value="male" id="bct">Sinh viên</label></div>
        <div style="float: left; margin-left: 125px;">
            <label><input type="radio" name="sex" value="female">Giáo viên</label></div>
         </div>
    <div class="form-group">
        <div  style="float: left; margin-left: 50px;"><label for="yct">Yêu cầu thêm(*) :</label></div>
        <div style="float: left; margin-left: 78px;">
            <textarea  style="height: 220px; width:380px;" class="field span8" id="textarea" name="user_input" 
        rows="50" ></textarea>
        </div>
    </div>  
</div>
<div class="dongy">
    <input type="checkbox" name="vehicle" value="Bike"><a href="url"><ins> Tôi đồng ý các điều khoản</ins></a>
</div>
    <div class="button">
        <div  style="float: left; margin-left:228px; background-color: #5bc0de;"">
            <button type="button" name="dangky" class="btn btn-info">
                <span class="glyphicon glyphicon-thumbs-up"> <b>Đăng Ký</b></span></button>   
        </div>
        <div  style="float: left; margin-left:76px; background-color: #5bc0de;">
            <button type="button" name="dangky" class="btn btn-info">
                <span class="glyphicon glyphicon-thumbs-down"> <b>Làm Lại</b></span></button>   
        </div>
    </div>
</form>
</div>